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DEMO-12-1415- . Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 - 1413 inspection Number: INSP- 176462 Permit Number. DEMO -7 -12 -1415 Inspection Date: February 05, 2013 Permit Type: Demolition Inspector: Devaney, Michael Inspection Type: Final Owner: Work Classification: Electric Job Address: 571 NW 113 Street Miami Shores, FL 33168- Phone Number Parcel Number 1121360211140 Project: <NONE> Contractor: AR ELECTRICAL SERVICES INC Phone: (305)338 -8394 Buildina Department Comments DISCONNECT ELECTRIC IN AREAS TO BE DEMOLISH 08/15/2012 PENDING CC LIC AND LIA INS 02/05/2013 - LIC AND INS RECEIVED BY VIVI. Passed Inspector Comments r` J Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 February 05, 2013 Page 1 of 1 �V 0 N r tp Q CTQB Construction Trades Quallfft Board BUSINESS CERTIFICATE OF COMPETENCY 04E000533 A.R. ELECTRIC SERVICES INC D.B.A.: RENE Is Certified under the provisions of Chapter 10 of Miami -Dade County 07/2512012 14:50 32154184233 ALLSTATE M PAGE 02/02 �"' CERTIFICATE OF LIABILITY INSURANCE ROai 07 -26 -x2012 THIS CERTIFICATES ISSUED AS A MATTER OF INFORMATION ONLY ANDCONFEFMNO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMOM. EXTEND OR ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW, THIS CERTIFICATEOF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND TKE- CERTIFICATE HOLDER, IMPORTANT: If tl* w0flcate Holder is an ADDITIONALINSURED, the poliay(iesl must be endorsed. If SUBROGATIONIS WAIVED. subject to tit® terma artd co"t ons of em palic, certain policies may require an ondorepmerrt. A statement an this certificate does not oorrhv dots to thin oerdfl*ate holder in Eau of such h endorsern PRdDOM NORTHEAST AGENCIES INC /PN.S 210204, P;(866)467-8730 F-.(800)308-5459 301 WOODS PARK DRIVE CLINTON NY 13323 -=rAQT PH 6)467 -6730 CP+c. (800j3U8 -5459 ao Irvalrt�Rtsl APraRnwdtoVtiFrAti6 rlaic� m A : Hartford Cal>sualt: xna Co 29424 A.R. ELECTRIC Sr RV"-r CES INC. 525 SW 63RD AVE KTAXI FL 33144 RQRJM it: IIVSURQ2 C - 06/03/20 ��PM D EACH OCCUINIM11 =FM 2: mumvp „" iNSttIRRi F i tueDOCPian,ra,:ecee,oet COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 1$ TO CERTIFY THAT THE FOUCIG3 OF >F15U MOS L-STM BELOW HAVE 00 ISSUED TO THE INSURED NAN18D ABOVE FOR THE FOUCY PM013 INDICATED, NO- nVITHSTANNDING ANY RECUIREMENT. TERM OR CONDITION OF ANY CONTRACT- OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CBITIFICATE MAY BE ISSIA0 OR MAY PERTAIN. THE INSURANCE AFFORDaD BY THE POLICIES 0211CR1SBD HMN IS SUBJECT TO ALL THE TERMS. I FXCLUMONS ANO CONDITION/$ OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN MUCED BY PAID CLAIMS. AVW AM TIPii Of RU6i�aA2'A BEFORE THE EXPIRATION DATE THMEOF, NOTICE 1MLL BE w" Ca! p4"Cr �Al�M Ib7M/ADl�yPI lJN1r78 A WfflOOLLMONAT COMM MOUPIL WMAI. It OLIN CxAWf.4-MAM 7x OCCUR X General Liab 01 38M AM8620 06/03/20 D6/03/20L3 EACH OCCUINIM11 01.000.000 mumvp „" e 3 0 tueDOCPian,ra,:ecee,oet 9 10 ODD PG40NAL- hADYINJURY A 1 0d 0 GeW AL AG@6Ar6 a 2.000,000 11"T VUCY � PRO PIMt LOC PROCRMTS.COMPMPAGS 92.000,000 0 AVr*l a&W 101941rr AWA= ALL GYMM ICI Ep A=.% FURED AVT03 NON-90450 AUTW � � COI EMM Me" UmIr I% Nzww* 6 BGIlRY IN"RY war a BODE.? IIIJf IFW IPOa pmt I ti 0 P MSWY WMAGE pw mmcu" ¢ t ° (fit�7EL9 r!!!B GCCLIR CIAMWWAD D n M1__! EACH OCCURFU M a AGG4WATE S oEb RQISNTION $ 9 i warueaau�nr dJ71J EoYF1�' LtasgrTY AM PRDPAIErOWAR71VEFM �1 IXCLVOQt? LJ eWar�rary NYee, daxoddpe w+dm Oil3CRIPT ON OF OMMATIMS btdow l N/A ❑ c a PY 6R M EACHlowco a 0 6].. Ot3EASF • BA f7NFl. I< Ed. [b8! ABE . Pa1 ICY L[<LIIT & d I F-1 0FOPffM7X M/t0 WWak aoOlsn Tor Gael r nnc�sad. swm s�ca�r+la 1 Those usual to the Insured's Operations. e- ¢er,�tnere unr nen r_ANCEI.I.OTION Q 7iJHB -ZDTD AGQiiD CC7diYU11Fl r ICJIII. ,wr ngr»ia reserves. ACORD 26 (201 OJOS) The ACONO nerrde and logo ara registered marks of ACORD Z•d d 6t,:£0 2 6 9 6 BnV SHOULD ANY OF THIS ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THMEOF, NOTICE 1MLL BE Miami Shores 'Village DELIVERED IN ACCORDAACE WITH THE POLICY PROVISIONS. 100050 NE 2ND AVE a slvrarn� xiAmI SHORES, FL 33138 Q 7iJHB -ZDTD AGQiiD CC7diYU11Fl r ICJIII. ,wr ngr»ia reserves. ACORD 26 (201 OJOS) The ACONO nerrde and logo ara registered marks of ACORD Z•d d 6t,:£0 2 6 9 6 BnV Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit JOB ADDRESS: A// tiv) I. FBC 20 [0 JUL 2 0.2012 � Permit N,. tffi-0 GH 9 6 Muter Permit No. ; — I Lj City: Miami Shores County: Miami Dade Zip: J j F) Folio/Parcel* Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple S ( &4,c ✓/, IFa City: �C'P,t- ,. ��. State: Zip: `� 1 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: A k-;' e ea tiAp ne#: (100 ) 3 LL-34 Address: ��(— f2 a-) & -3 e_ City: M/ &qit,. , state: Zip: Qualifier Name: Phone#: State Certification or Registration / 3 #: 3 Certificate of Competency #: Contact Phonek ��� Email Address: DESIGNER: Architect/Engineer. _ J &At 4- v a (,2) Z Phone#: F0 -W,0--d 7 S1 Y Value of Work for this Permit: $ 119 ®' f® Squarefl inear Footage of Work: Type of Work: OAddress Alteration 650 ' ONew ORepair/Replace m lition Description of Work: t ( A,0 A 44 e C_GZ �7AL C is CA'o pr 0 It fu J lyl apill, �( Submittal Fee $ Permit Fee $14®Ar 04�9 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $, Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a .permit and that all work will be performed to meet the standards of all laws regulating construction in this jur'isdictiofl.- I turtimst9 d that- separate permit-must-be secured#orbLECTRICAL WORK; PLUM8JN&, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:' Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged d..�. Cam`-"' Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this -2G day of J i Y , 20(&,b, /`SAT Le✓oi,> G er,— who is�ersonally kno4o me or who has produced r" \ As identification and who did take an oath. NOTARY Sign: Print: The foregoing instrument was acknow edged before me this Z� day of 'TV ` � . 20 2• by who is(personally know�to me or who has produced NOTARY Sign: GARCIA Print: as and who did take an oath. +a P %!§�; cvIJ%ffEOFFLO My Commission Expires: :` ���� ®� Ft A My Commission ExP x Comma D RWA G0917298 Comm* DC0917218 of nroa p eE ;....a Exp:r�os 0./7/2013 !7/2093 APPROVED BY �3 Xq' 2�-4Z Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009XRevised 3/15/09) 71 registiraci3 AR ELECTRICAL SERVICES ''INC ALEJANDRD LOPEZ VPRES 525 S 63 AVE . �IIAM FI, 33- 144 4' 4tia � �a It dill fill, tix w psi ►ta tiara it a twhilh II I 71 DO NOT FORWARD -- - AR E L. C T R I A. L SERVICES 1140 - ALEJA SRO LGPEZ V t$- 525 w d3 WE: MIAMI Ft 33344 22 • AC ` $ STATE OF FLORIDA,. � j DEPART(ENT b BLtSi1SS PR(3''SS4kA% Rt3�TLATION ,ET�2CAL. bbTTRiCTCR ib.E�+i'SII�C BQ�RT� SIE L120605©1294 • 4 • T�TCENSE NBR 4 k�� I 1 �.►DEC'Z` -IA C}N`RKT€ J r� �1+ k� 4y Named. i3E3low 'iAS RAY STB, 5 y y � -. � „y- ;.} X1. 3 {� awn Vopd^ Y y it •. Ch y�!!�' Y i.'iZ,F�7y +••+ 7+� ' y� 7r,..,r +� E�Ia .Fi 1�.tio',1:i+�r date;i Auo t D V ID i+iL Ali S MEET' A, LbC q b' q R}�D'RENITS Pb Z`fl CQTGT`�� r 1 X111► riati ' S25 ►�" "•'�Y'arF' .: _ - x/ #air �'�rr'Y+ 1D' s NTAMI FL 33144'x`, RTC SrCTT KEN LA'W"SbN Gb'SEE1TflR :: SECRETARY DISPLAIF AS REQUIRED BY LAW -�rT777777' 777"770 -7`777 77 ©r SORWI .FtN�NGIAL i r,TRl TION INDUSTRY - - t1Cf�► 7 ER OIN >_ `� r N. ;ws RENE 'AWAt D' -�rT777777' 777"770 -7`777 77 ©r SORWI .FtN�NGIAL r,TRl TION INDUSTRY - - t1Cf�► 7 ER OIN >_ `� TAP TCIi R N. RENE 'AWAt D' ,. INS Nf�►PE �Na A[7D� T�,Mfi�Nff CANAL- itfJAq � ; We '( Bt 1 ESS OR TRADE: